Correlation between triglyceride level and carotid intima media thickness in patients with type 2 diabetes mellitus
|
|
- Abel Perkins
- 5 years ago
- Views:
Transcription
1 International Journal of Clinical Trials Bendwal K et al. Int J Clin Trials May;5(2): pissn eissn Original Research Article DOI: Correlation between triglyceride level and carotid intima media thickness in patients with type 2 diabetes mellitus Kavita Bendwal*, Suresh Bendwal, R. G. Dhawale Department of Medicine, R. D. Gardy Medical College, Ujjain, Madhya Pradesh, India Received: 14 February 2018 Revised: 10 March 2018 Accepted: 12 March 2018 *Correspondence: Dr. Kavita Bendwal, dr.sureshbendwal@gmail.com Copyright: the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Background: Type 2 diabetes mellitus (T2DM) is associated with the development of premature atherosclerosis and high cardiovascular morbidity and mortality. Diabetic dyslipidemia is believed to play an important role in the pathogenesis of accelerated atherosclerosis in this condition. The aim of present study was to find out the role of fasting and postprandial triglyceride level and its relation with carotid intima media thickness in patients of T2DM. Methods: 120 patients of T2DM were included in this study. All patients didn t have any peripheral vascular disease, IHD or stroke and all were between 30 to 70 years of age. Ultrasonographic evaluation done in all patients to measure CIMT and its correlation seen with fasting and postprandial triglyceride level and other parameters. Results: All patients are divided into 3 groups according to their triglyceride level NN, NH and HH. The mean CIMT in the NN, NH and HH group was 0.96±0.26, 1.64±0.39 and 1.94±0.57 mm respectively. The CIMT was higher in the NH and HH groups in comparison with that in NN group which is statistically significant (p<0.001). Conclusions: Fasting and postprandial triglyceride level both correlate significantly with carotid intima media thickness. But the correlation of postprandial triglyceride level with CIMT is better than that of fasting triglyceride level. Keywords: Type 2 diabetes mellitus, Carotid intima media thickness, Fasting triglyceride, Postprandial triglyceride INTRODUCTION Diabetes mellitus is the commonest metabolic disorder affecting the people all over the world. T2DM is the most common endocrine disorder of humans characterized by metabolic abnormalities leading to long term complications involving many organ systems. Type 2 diabetes mellitus (T2DM) is one of the most common secondary causes of dyslipidemia. 1 Insulin resistance and obesity both combine to cause dyslipidemia and hyperglycemia. 2 T2DM is associated with development of premature atherosclerosis that leads to high cardiovascular morbidity and mortality. 3-5 Diabetic dyslipidemia have an important role in pathogenesis of accelerated atherosclerosis. 6,7 Lipid abnormality in T2DM are characterized by high triglyceride concentration particularly post prandially (post prandial lipidemia), low high density lipoprotein cholesterol (HDL) and normal or high concentration of low density lipoprotein cholesterol (LDL). 8 Also patients with T2DM have higher carotid intimal thickness value than non diabetic subjects. 9 B- mode ultrasound enables non-invasive, direct visualization of the arterial wall. The intima media thickness of carotid artery (CIMT) quantified using this technique is a reliable marker of atherosclerotic burden. Furthermore, it demonstrates greater sensitivity in detecting early atherosclerosis as compared to angiography. 10 International Journal of Clinical Trials April-June 2018 Vol 5 Issue 2 Page 97
2 There is paucity of data from India on the role of fasting and post prandial hypertriglyceridemia and its association with carotid intima media thickness in type 2 diabetic patients. So present study was conducted to find out this correlation. METHODS The present study was conducted on 120 patients of T2DM in the period of August 2016 to September Inclusion criteria T2DM having diabetes for more than 5 years. Patients with age between 30 to 70 years of the age were included in this study. All patients were diagnosed as diabetic as per recommendation of WHO and national diabetes group (American Diabetes Association 2011). Exclusion criteria Patients of type 1 diabetes mellitus, gestational diabetes, patients with previous history of hypertension, stroke, IHD and peripheral vascular disease, patients having diabetes for less than 5 years, patients less than 30 and more than 70 years of age were excluded from this study. All patients were on conservative treatment. A preinformed consent was obtained. All patients were subjected to detailed history, anthropometric measurement (BMI), clinical examination and biochemical investigations including lipid profile, blood sugar, urine examination and HbA1c level. All patients of T2DM were divided into 3 groups according to their serum triglyceride level. Ultrasonographic examinations of all patients were performed by radiologist. CIMT is measured using a 7.5 MHz linear transducer probe. Results obtained in all patients with T2DM, CIMT is measured and correlation of triglyceride level with CIMT was studied. Statistical analysis was done. P<0.05 was taken as significant. RESULTS 120 patients of type 2 diabetes were studied. All patients were between 30 to 70 years of age group. Out of 120 patients, 73 were males and 47 were females. Physical characteristics of all studied diabetic patients were shown in Table 1. 71% patients (85 out of 120) were in age group 41 to 70 years indicating long asymptomatic period of type 2 diabetes and its late diagnosis. Mean age of the patients was 54±10 years. All patients were divided into 3 groups according to their fasting and post prandial triglyceride level as shown in Table 2. The first group was normo-normo (NN) group of 32 patients having normal fasting and normal post prandial triglyceride level, second group was normohyper (NH) group of 36 patients having fasting but high post prandial triglyceride levels and third group was hyper- hyper (HH) group of 32 patients with high fasting and high post prandial triglyceride level. Out of 120 patients, 39 (32.5%) were in the NN group, 42 (35%) in NH group and 39 (32.5%) in the HH group. Carotid intima media thickness (CIMT) is measured in all 3 groups as shown in Table 3. In the NN group, the mean CIMT was 0.96±0.26 mm with a range of mm. In the NH group, the mean CIMT was 1.64±0.39 mm with a range of mm. In the HH group, the mean CIMT was 1.94±0.57 mm with a range of mm. So CIMT value is increasing as triglyceride value increased. Table 1: Physical and biochemical characteristics of diabetic patients. S. No. Characteristics Cases (n=120) 1. Age (yrs) Range Mean±SD 54.64± Weight (kg) Range Mean±SD 57.82± Male: female ratio 73:47 4. Blood pressure (mm of Hg) (Mean±SD) SBP 144.8±29.49 DBP 86±16.90 Lipid profile (Mean±SD) Total cholesterol (mg/dl) ± Triglyceride (mg/dl) ± LDL ±72.78 HDL 41.95± HbA1c (%) (Mean±SD) 7.9± BMI (kg/ m 2 ) (Mean±SD) 28.75±10.25 SBP= Systolic blood pressure; DBP= Diastolic blood pressure; BMI= Body mass index. International Journal of Clinical Trials April-June 2018 Vol 5 Issue 2 Page 98
3 Table 2: Distribution of patients based on FTG and PPTG level. Classification Number % Group A Normo- normo group (NN) PPTG 150 mg/dl) Group B Normo- hyper group (NH) Group C Hyper- hyper group (HH) (FTG 150 mg/dl; Total (N=120) 100 Table 3: Assessment of mean CIMT in various groups. Group A Group B Group C Classification Normo- normo group (NN) PPTG 150 mg/dl) Normo- hyper group (NH) Hyper- hyper group (HH) (FTG 150 mg/dl; CIMT (mm) Range Mean±SD ± ± ±0.57 Table 4: Assessment of mean CIMT according to FBS and PPBS level. FBS (mg/dl) PPBS (mg/dl) Value CIMT (mm) Range Mean±SD < ± ±0.64 > ±0.51 < ± ±0.53 > ±0.59 Table 5: Comparative analysis of CIMT with various variables under study. Variable r value p value Significance Age p<0.05 Significant Duration of diabetes p<0.001 Highly significant FBS p>0.05 Not significant PPBS p<0.05 Significant TC fasting 0.08 p>0.05 Not significant TC post prandial 0.00 p>0.05 Not significant LDL fasting 0.00 p>0.05 Not significant LDL post prandial p>0.05 Not significant HDL fasting p>0.05 Not significant HDL post prandial p>0.05 Not significant VLDL fasting p<0.05 Significant VLDL post prandial p<0.05 Significant TG fasting 0.45 p<0.001 Highly significant TG post prandial 0.67 p<0.001 Highly significant International Journal of Clinical Trials April-June 2018 Vol 5 Issue 2 Page 99
4 All patients are divided into 3 groups according to their fasting and post prandial blood sugar value and relationship between sugar value and CIMT was shown in Table 4. In this study there was no significant correlation found between FBS and CIMT but there correlation between PPBS and CIMT is significant. A comparative analysis of CIMT with various variables like age, duration of diabetes, VLDL, cholesterol, VLDL and LDL was done as shown in Table 5. DISCUSSION Diabetes mellitus is the commonest metabolic disorder affecting many organ system of the body and comprises clusters of abnormalities such as dyslipidemia, hypertension, obesity and insulin resistance as a central pathognomic factor. The present study is a cross sectional study, in which observations seen are compared with published literature on the same topics. Similar and contradictory findings had been elaborated and possible explanation given. In this study the patients were distributed into 3 groups based on the fasting and post prandial triglyceride levels NN, NH and HH. The mean CIMT in the NN, NH, and HH group was 0.96±0.26, 1.64±0.39 and 1.94±0.57 mm respectively. The CIMT was higher in the NH, HH group as compared to NN group. In other words as the serum triglyceride value increased, CIMT also increased. These findings were statistically significant (p<0.005). This is consistent with the study of Teno et al who observed that CIMT was significantly higher in NH and HH groups than that of NN group (p<0.001) and CIMT of patients with fasting and post prandial hypertriglyceridemia was greater than that of patients with normal triglyceride levels. 11 Mori et al found that the CIMT value was significantly higher in diabetic patients with fasting and post prandial hypertriglyceridemia as compared to that of in those with normal triglyceride levels. 12 Ahmed et al found that CIMT was significantly increased in NH and HH group as compared to NN group. 13 Dharmalingam et al also found that fasting triglyceride level correlate significantly with carotid intima media thickness. 14 Rao et al also found significant correlation of hypertriglyceridemia and carotid intima media thickness in T2DM patients. 15 Idei et al found that mean postprandial triglyceride concentration is an independent risk factor for carotid intima media thickness. 16 However in other study Christen et al supports use of fasting triglyceride concentration instead of postprandial triglyceride responses for cardiovascular risk stratification in clinical practice. 17 Batluk et al observed that fasting triglyceride but not post prandial triglycerides associated with common carotid artery intima media thickness. 18 In the present study, it was observed that although both FTG and PPTG levels were significantly correlating with CIMT but the PPTG levels (r=0.67) were more significantly correlating with CIMT as compared to the FTG levels (r=0.45). Also it was observed that CIMT was higher in patients with high PPTG level despite normal FTG levels so it can be concluded that PPTG levels may be better predictor of CIMT than that of FTG levels in patients with T2DM. Shinichi et al observed that PPTG level was more strongly and independent correlate with CIMT than that FTG level. 11 It was concluded that postprandial hypertriglyceridemia despite normal FTG levels may be an independent risk factor for early atherosclerosis in T2DM. Ahmed et al observed that PPTG level had strongest statistical influence on CIMT value. 13 Xiang et al observed that the CIMT in patients with postprandial hypertriglyceridemia was significantly greater than that in patients with postprandial normal triglyceride level (p<0.05), which remained significant after adjustment for fasting triglyceride level. 19 In this study the CIMT value is assessed according to FBS and PPBS levels. There was no statistical correlation found between FBS and CIMT (p>0.05). This was similar to that observed by Esposito et al, who reported that CIMT did not correlate with fasting blood sugar level (p>0.005). 20 It was observed that PPBS correlated significantly with the CIMT (p<0.01). This result was similar to that obtained by Esposito et al who reported statistically significant correlation of post prandial blood sugar with CIMT. 20 In this study, it is clearly evident that ages, duration of diabetes, PPBS, fasting and post prandial VLDL as well as fasting and post prandial triglyceride have a significant impact on the CIMT. On the other hand FBS, fasting and post prandial cholesterol, LDL and HDL having no significant impact on CIMT. CONCLUSION Fasting and postprandial triglyceride level both correlate significantly with carotid intima media thickness. But the correlation of postprandial triglyceride level with CIMT is better than that of fasting triglyceride level. The postprandial triglyceridemia despite normal fasting triglyceride level can be considered as an important risk factor for atherosclerosis in T2DM. Evaluating not only the fasting triglyceride level but also the postprandial triglyceride level during the clinical assessment of patient with T2DM is very important. Funding: No funding sources Conflict of interest: None declared Ethical approval: The study was approved by the Institutional Ethics Committee International Journal of Clinical Trials April-June 2018 Vol 5 Issue 2 Page 100
5 REFERENCES 1. Rosenson RS. Secondary causes of dyslipidemia. UpToDate. Available at: Accessed on 10 February Ginsenberg HN. Insulin resistance and cardiovascular disease. J Clin Invest. 2000;106(4): Garcia MJ, McNamara PM, Gordon T, Kannel WB. Morbidity and mortality in diabetics in the Framingham population, Sixteen year follow up study. Diabetes. 1974;23: Fatan TG, Sower J. Type 2 diabetes mellitusgreater cardiovascular risks and greater benefits of therapy. Arch Intern Med. 1999;159: Haffiner SM, Lehto s, Ronnemaa T, Pyorala K, Laakso M. Mortality from coronary heart disease in subjects with type 2 diabetes and in non diabetic subjects. N Eng J Med. 1998;339: Fronbonne A. Relationship between diabetic dyslipoproteinemia and coronary heart disease risk in non insulin dependent diabetes. Diab Met Rev. 1991;7: Frontbonne A, Eschewege E, Cambien F. Hypertriglyceridemia as a risk factor for coronary heart disease mortality in subjects with impaired glucose tolerance or diabetes. Result from 11 year follow up of the Paris Prospective study. Diabetologia. 1989;32: Jonathan V, Robert SE. Dyslipidemia in type 2 diabetes: epidemiology and biochemistry. B J Diab Vasc Dis. 2003;3: Mohan V, Ravikumar R, Shanthi Rani S, Deepa R. Intimal medial thickness of the coronary artery in south Indian diabetic and non diabetic subjects: the Chennai urban population study (CUPS). Diabetologia. 2000;43(4): Bots ML, Dijk JM, Oren A, Grobbee DE. Carotid intima media thickness, arterial stiffness and risk of cardiovascular disease. Current evidence. J Hypertens. 2002;20(12): Shinichi T, Yuko U, Hirotaka N. Association of postprandial hypertriglyceridemia and carotid intima media thickness in patients with type 2 diabetes. Diabetes care. 2000;23: Mory Y, Itoh Y, Komiya H. Association between post prandial remnant like particle triglyceride (RLP- TG) levels and carotid intima media thickness in Japanese patients with type 2 diabetes assessment by meal tolerance test (MTT). Endocrine. 2005;28: Ahmed J, Hameed B, Das G, Siddique MA, Ahmed I. Postprandial hypertriglyceridemia and carotid intima media thickness in north Indian type 2 diabetic subjects. Diabetes Res Clin Pract. 2005;69(2): Dharmalingham M, Deshpande NR, Vidyasagar S. Triglyceride levels and its correlation with carotid intima media thickness. Int J Diab Dev Countries. 2004;24: Rao A, Ramulu K, Marx K, Rao T, Ramana Devi V. Association of post prandial hypertriglyceridemia and carotid intima media thickness in patients with type 2 diabetes mellitus. Int J Diab Res. 2016;5(5): Idei M, Hirayama S, Miyake N, Kon M, Horiuchi Y, Ueno T. Mean postprandial triglyceride concentration is an independent risk factor for carotid intima media thickness. Clinica Chimica Acta. 2014;430: Christen T, Mutsert R, Gast K, Rensen P, Koning E, Rosendaal F, et al. Association of fasting triglyceride concentration and postprandial triglyceride response with the carotid intima-media thickness in the middle aged: The Netherlands Epidemiology of Obesity study. Clin Lipidol. 2017;11(2): Batluk J, Leonard CO, Grittner U, Lange LS, Schreiber SJ, Endres M, et al. Triglycerides and carotid intima-media thickness in ischemic stroke patients. Atherosclerosis. 2015;241(1): Chen Xiang, Tian H, Liu R. Association between fasting and postprandial triglyceride levels and carotid intima media thickness in type 2 diabetes patients and healthy subjects. Chin Med J. 2003;116(12): Esposito K, Ciotola M, Carleo D, Schisano B, Sardelli L, Di Tommaso D. Post meal glucose peaks at home associate with carotid intima media thickness in type 2 diabetes. J Clin Endo Met. 2008;93(4): Cite this article as: Bendwal K, Bendwal S, Dhawale RG. Correlation between triglyceride level and carotid intima media thickness in patients with type 2 diabetes mellitus. Int J Clin Trials 2018;5(2): International Journal of Clinical Trials April-June 2018 Vol 5 Issue 2 Page 101
A Study to Show Postprandial Hypertriglyceridemia as a Risk Factor for Macrovascular Complications in Type 2 Diabetis Mellitus
Original Article Print ISSN: 2321-6379 Online ISSN: 2321-595X DOI: 10.17354/ijss/2018/21 A Study to Show Postprandial Hypertriglyceridemia as a Risk Factor for Macrovascular Complications in Bingi Srinivas
More informationA study of brachial artery flow mediated dilatation and carotid intima media thickness in subjects having risk factors for coronary artery disease
International Journal of Advances in Medicine http://www.ijmedicine.com pissn 2349-3925 eissn 2349-3933 Original Research Article DOI: http://dx.doi.org/10.18203/2349-3933.ijam20171037 A study of brachial
More informationOriginal Research Article
A STUDY TO ESTIMATE SUBCLINICAL ATHEROSCLEROSIS IN PATIENTS WITH TYPE 2 DIABETES MELLITUS BY MEASURING THE CAROTID INTIMAL MEDIAL THICKNESS Natarajan Kandasamy 1, Rajan Ganesan 2, Thilakavathi Rajendiran
More informationJCD. Correlation of In flammatory Markers and Dyslipidemia with Carotid Intima- Media Thickness in Type 2 Diabetic Subjects ORIGINAL ARTICLE
JCD ORIGINAL ARTICLE Correlation of In flammatory Markers and Dyslipidemia with Carotid Intima- Media Thickness in Type 2 Diabetic Subjects Mukhopadhyay Saptarshi*, Banerjee Samar**, Bhattacharya Kingshuk***
More informationAsia Pacific Journal of Research ISSN (Print) : ISSN (Online) :
Study of Post Prandial Hypertriglyceridemia and Glycosylated Hemoglobin and its co relation with Carotid Intima Media Thickness in Patients with Type 2 Diabetes Mellitus DR. SHASHIDHAR. G. MD MEDICINE
More informationAssociation between arterial stiffness and cardiovascular risk factors in a pediatric population
+ Association between arterial stiffness and cardiovascular risk factors in a pediatric population Maria Perticone Department of Experimental and Clinical Medicine University Magna Graecia of Catanzaro
More informationTotal risk management of Cardiovascular diseases Nobuhiro Yamada
Nobuhiro Yamada The worldwide burden of cardiovascular diseases (WHO) To prevent cardiovascular diseases Beyond LDL Multiple risk factors With common molecular basis The Current Burden of CVD CVD is responsible
More informationUnraveling the concealed and calculated cardiovascular risks in diabetes
15 P B Fernando Memorial Oration 2015 Unraveling the concealed and calculated cardiovascular risks in diabetes Weerarathna T P 1 Journal of the Ceylon College of Physicians, 2016, 47, 15-19 Abstract Cardiovascular
More informationPostprandial Dyslipidemia as a Screening Tool for Risk Stratification of Acute Coronary Syndrome in Type 2 Diabetes Mellitus
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 17, Issue 2 Ver. 10 February. (2018), PP 16-20 www.iosrjournals.org Postprandial Dyslipidemia as a Screening
More informationOptimizing risk assessment of total cardiovascular risk What are the tools? Lars Rydén Professor Karolinska Institutet Stockholm, Sweden
Optimizing risk assessment of total cardiovascular risk What are the tools? Lars Rydén Professor Karolinska Institutet Stockholm, Sweden Cardiovascular Disease Prevention (CVD) Three Strategies for CVD
More informationCVD Risk Assessment. Michal Vrablík Charles University, Prague Czech Republic
CVD Risk Assessment Michal Vrablík Charles University, Prague Czech Republic What is Risk? A cumulative probability of an event, usually expressed as percentage e.g.: 5 CV events in 00 pts = 5% risk This
More informationABSTRACT ORIGINAL ARTICLE INTRODUCTION. e-issn: p-issn: doi: /apjhs G. Vikas Naik 1 *, K. P.
ORIGINAL ARTICLE e-issn: 2349-0659 p-issn: 2350-0964 doi: 10.21276/apjhs.2018.5.1.21 Carotid intima-media thickness as a predictor of atherosclerosis in diabetic and non-diabetic subjects - A study from
More informationThe investigation of serum lipids and prevalence of dyslipidemia in urban adult population of Warangal district, Andhra Pradesh, India
eissn: 09748369, www.biolmedonline.com The investigation of serum lipids and prevalence of dyslipidemia in urban adult population of Warangal district, Andhra Pradesh, India M Estari, AS Reddy, T Bikshapathi,
More informationJMSCR Vol 06 Issue 12 Page December 2018
www.jmscr.igmpublication.org Impact Factor (SJIF): 6.379 Index Copernicus Value: 79.54 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v6i12.115 Evaluation of Carotid Intima
More informationPlasma fibrinogen level, BMI and lipid profile in type 2 diabetes mellitus with hypertension
World Journal of Pharmaceutical Sciences ISSN (Print): 2321-3310; ISSN (Online): 2321-3086 Published by Atom and Cell Publishers All Rights Reserved Available online at: http://www.wjpsonline.org/ Original
More informationStudy of relationship of serum Lipid Profile and etiological factors of Ischaemic Heart Diseases
Original article: Study of relationship of serum Lipid Profile and etiological factors of Ischaemic Heart Diseases Dr Abhijit Nikam, Dr Sonu Yadav, Dr Vivek Chiddarwar, Dr A L Kakrani Dept of Medicine,
More informationPatients characteristics associated with better glycemic response to teneligliptin and metformin therapy in type 2 diabetes: a retrospective study
International Journal of Advances in Medicine Gadge PV et al. Int J Adv Med. 2018 Apr;5(2):424-428 http://www.ijmedicine.com pissn 2349-3925 eissn 2349-3933 Original Research Article DOI: http://dx.doi.org/10.18203/2349-3933.ijam20181082
More informationTHE EFFECT OF VITAMIN-C THERAPY ON HYPERGLYCEMIA, HYPERLIPIDEMIA AND NON HIGH DENSITY LIPOPROTEIN LEVEL IN TYPE 2 DIABETES
Int. J. LifeSc. Bt & Pharm. Res. 2013 Varikasuvu Seshadri Reddy et al., 2013 Review Article ISSN 2250-3137 www.ijlbpr.com Vol. 2, No. 1, January 2013 2013 IJLBPR. All Rights Reserved THE EFFECT OF VITAMIN-C
More informationCarotid Intimomedial Thickness in Type 2 Diabetic Patients and Its Correlation with Coronary Risk Factors
Original Article# Carotid Intimomedial Thickness in Type 2 Diabetic Patients and Its Correlation with Coronary Risk Factors AK Agarwal*, PK Gupta**, S Singla***, U Garg+, A Prasad++, R Yadav+++ Abstract
More informationyear resident, Department of Medicine, B. J. Medical college, Ahmedabad.
Clinical Study of Type 2 Diabetes Mellitus Patients with or without Cerebrovascular Feature and Its Correlation with Other Comorbidity / Diabetic Complication Vivek Sidhapura 1*, Bipin Amin 2, Amit Potulwar
More informationCoronary artery disease (CAD) risk factors
Background Coronary artery disease (CAD) risk factors CAD Risk factors Hypertension Insulin resistance /diabetes Dyslipidemia Smoking /Obesity Male gender/ Old age Atherosclerosis Arterial stiffness precedes
More informationAsian J. Exp. Sci., Vol. 27, No. 1, 2013; 67-72
Carotid Intima-media Thickness as a Surrogate Marker of Atherosclerosis and its Correlation with Coronary Risk Factors and Angiographic Severity of Coronary Artery Disease. 1 2 Rajeev Gupta and Rajendra
More informationClinical profile, risk factors and outcome of ischemic heart disease patients at tertiary care centre
International Journal of Advances in Medicine http://www.ijmedicine.com pissn 2349-3925 eissn 2349-3933 Original Research Article DOI: http://dx.doi.org/10.18203/2349-3933.ijam20183434 Clinical profile,
More informationA comparative study on the fasting and post prandial lipid levels as a cardiovascular risk factor in patients with type 2 diabetes mellitus
Original Research Article A comparative study on the fasting and post prandial lipid levels as a cardiovascular risk factor in patients with type 2 diabetes mellitus Deepa Kalikavil Puthenveedu 1, Sundaraj
More informationJMEDS ORIGINAL ARTICLE ABSTRACT INTRODUCTION MATERIALS AND METHODS
ORIGINAL ARTICLE Study of Atherosclerotic Risk Factors in Patients 10.5005/jp-journals-10045-0048 with Prediabetes and Type II DM Study of Atherosclerotic Risk Factors in Patients with Prediabetes and
More informationFrequency of Dyslipidemia and IHD in IGT Patients
Frequency of Dyslipidemia and IHD in IGT Patients *Islam MS, 1 Hossain MZ, 2 Talukder SK, 3 Elahi MM, 4 Mondal RN 5 Impaired glucose tolerance (IGT) is often associated with macrovascular complications.
More informationWelcome and Introduction
Welcome and Introduction This presentation will: Define obesity, prediabetes, and diabetes Discuss the diagnoses and management of obesity, prediabetes, and diabetes Explain the early risk factors for
More information2.5% of all deaths globally each year. 7th leading cause of death by % of people with diabetes live in low and middle income countries
Lipid Disorders in Diabetes (Diabetic Dyslipidemia) Khosrow Adeli PhD, FCACB, DABCC Head and Professor, Clinical Biochemistry, The Hospital for Sick Children, University it of Toronto Diabetes A Global
More informationIsolated Post-challenge Hyperglycemia: Concept and Clinical Significance
CLINICAL PRACTICE Isolated Post-challenge Hyperglycemia: Concept and Clinical Significance John MF. Adam*, Daniel Josten** ABSTRACT The American Diabetes Association has strongly recommended that fasting
More informationStatin therapy in patients with Mild to Moderate Coronary Stenosis by 64-slice Multidetector Coronary Computed Tomography
Statin therapy in patients with Mild to Moderate Coronary Stenosis by 64-slice Multidetector Coronary Computed Tomography Hyo Eun Park 1, Eun-Ju Chun 2, Sang-Il Choi 2, Soyeon Ahn 2, Hyung-Kwan Kim 3,
More informationIschemic Heart and Cerebrovascular Disease. Harold E. Lebovitz, MD, FACE Kathmandu November 2010
Ischemic Heart and Cerebrovascular Disease Harold E. Lebovitz, MD, FACE Kathmandu November 2010 Relationships Between Diabetes and Ischemic Heart Disease Risk of Cardiovascular Disease in Different Categories
More informationNomogram of the Relation of Brachial-Ankle Pulse Wave Velocity with Blood Pressure
801 Original Article Nomogram of the Relation of Brachial-Ankle Pulse Wave Velocity with Blood Pressure Akira YAMASHINA, Hirofumi TOMIYAMA, Tomio ARAI, Yutaka KOJI, Minoru YAMBE, Hiroaki MOTOBE, Zydem
More informationLipoprotein Particle Profile
Lipoprotein Particle Profile 50% of people at risk for HEART DISEASE are not identified by routine testing. Why is LPP Testing The Most Comprehensive Risk Assessment? u Provides much more accurate cardiovascular
More informationStudy on occurrence of metabolic syndrome among patients with stroke: a descriptive study
Original article Study on occurrence of metabolic syndrome among patients with stroke: a descriptive study Dr. Mahesh K Savadi*, Dr Manjunatha N** *Assistant Professor, **Post graduate Dept. of General
More informationReceived: March 2008; in final form May 2008.
RELATIONSHIP BETWEEN BRACHIAL ARTERY FLOW- MEDIATED DILATION AND CAROTID ARTERY INTIMA MEDIA THICKNESS IN THE MIDDLE-AGED SUBJECTS WITH LOW CARDIOVASCULAR RISK GERMAINE SĂVOIU*, LAVINIA NOVEANU**, O. FIRA-MLADINESCU*,
More informationASSOCIATION BETWEEN COMMON CAROTID INTIMA-MEDIA THICKNESS (CAROTID IMT) AND CORONARY ARTERY DISEASE Srinivasa Rao Malladi 1
ASSOCIATION BETWEEN COMMON CAROTID INTIMA-MEDIA THICKNESS (CAROTID IMT) AND CORONARY ARTERY DISEASE Srinivasa Rao Malladi 1 HOWTOCITETHISARTICLE: Srinivasa Rao Malladi. Association between Common Carotid
More informationStudy of serum Lipid Profile patterns of Indian population in young Ischaemic Heart Disease
Original article: Study of serum Lipid Profile patterns of Indian population in young Ischaemic Heart Disease Dr Sonu Yadav, Dr Abhijit Nikam, Dr Vivek Chiddarwar, Dr A L Kakrani Department of Medicine,
More informationPrevalence of non-alcoholic fatty liver disease in type 2 diabetes mellitus patients in a tertiary care hospital of Bihar
Original Research Article Prevalence of non-alcoholic fatty liver disease in type 2 diabetes mellitus patients in a tertiary care hospital of Bihar Naresh Kumar 1, Jyoti Kumar Dinkar 2*, Chandrakishore
More informationHyperlipidemia and Cardiovascular Risk Factors in Patients With Type 2 Diabetes
...PRESENTATIONS... Hyperlipidemia and Cardiovascular Risk Factors in Patients With Type 2 Diabetes Based on a presentation by Ronald B. Goldberg, MD Presentation Summary Atherosclerosis accounts for approximately
More informationSUMMARY. Introduction. Study design. Summary
SUMMARY Introduction The global prevalence of type 2 diabetes is increasing rapidly and nowadays affects almost 250 million people. Cardiovascular disease is the most prevalent complication of type 2 diabetes,
More informationMetabolic Syndrome among Type-2 Diabetic Patients in Benghazi- Libya: A pilot study. Arab Medical University. Benghazi, Libya
Original Article Metabolic Syndrome among Type-2 Diabetic Patients in Benghazi- Libya: A pilot study Alshkri MM 1, Elmehdawi RR 2 1 Benghazi Diabetes Center. 2 Medical Department, Faculty of Medicine,
More informationDECLARATION OF CONFLICT OF INTEREST. None
DECLARATION OF CONFLICT OF INTEREST None BURDEN OF CORONARY ARTERY DISEASE IN DIABETES IN INDIA Amal Kumar Banerjee MD, DM,FACC,FESC,FACP,FAPSC,FICC President Association of Physicians of India SAARC Cardiac
More informationPrevalence and pattern of Dyslipidaemia among patients with newly diagnosed type 2 diabetes mellitus in Southern Sri Lanka; a cross sectional study
Prevalence and pattern of Dyslipidaemia among patients with newly diagnosed type 2 diabetes mellitus in Southern Sri Lanka; a cross sectional study 1 1 2 Herath HMM, Weerarathna TP, Weerasinghe NP 1 1
More informationSerum levels of galectin-1, galectin-3, and galectin-9 are associated with large artery atherosclerotic
Supplementary Information The title of the manuscript Serum levels of galectin-1, galectin-3, and galectin-9 are associated with large artery atherosclerotic stroke Xin-Wei He 1, Wei-Ling Li 1, Cai Li
More informationFigure S1. Comparison of fasting plasma lipoprotein levels between males (n=108) and females (n=130). Box plots represent the quartiles distribution
Figure S1. Comparison of fasting plasma lipoprotein levels between males (n=108) and females (n=130). Box plots represent the quartiles distribution of A: total cholesterol (TC); B: low-density lipoprotein
More informationCARDIOVASCULAR RISK FACTORS & TARGET ORGAN DAMAGE IN GREEK HYPERTENSIVES
CARDIOVASCULAR RISK FACTORS & TARGET ORGAN DAMAGE IN GREEK HYPERTENSIVES C. Liakos, 1 G. Vyssoulis, 1 E. Karpanou, 2 S-M. Kyvelou, 1 V. Tzamou, 1 A. Michaelides, 1 A. Triantafyllou, 1 P. Spanos, 1 C. Stefanadis
More informationClinical Trial Synopsis TL-OPI-518, NCT#
Clinical Trial Synopsis, NCT# 00225264 Title of Study: A Double-Blind, Randomized, Comparator-Controlled Study in Subjects With Type 2 Diabetes Mellitus Comparing the Effects of Pioglitazone HCl vs Glimepiride
More information3/25/2010. Age-adjusted incidence rates for coronary heart disease according to body mass index and waist circumference tertiles
Outline Relationships among Regional Adiposity, Physical Activity, and CVD Risk Factors: Preliminary Results from Two Epidemiologic Studies Molly Conroy, MD, MPH Obesity Journal Club February 18, 2010
More informationStudy of fixed dose combination for the management of cardiovascular diseases
World Journal of Pharmaceutical Sciences ISSN (Print): 2321-331; ISSN (Online): 2321-386 Available online at: http://www.wjpsonline.org/ Original Article Study of fixed dose combination for the management
More informationJMSCR Vol 4 Issue 06 Page June 2016
www.jmscr.igmpublication.org Impact Factor 5.244 Index Copernicus Value: 5.88 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: http://dx.doi.org/10.18535/jmscr/v4i6.69 Role of Aging, Hypertension and Dyslipidaemia
More informationCorrelation between fasting insulin and blood pressure in obese and non-obese middle aged Indian diabetic adults
Volume: 2, Issue: 5, 241-245 May 2015 www.allsubjectjournal.com e-issn: 2349-4182 p-issn: 2349-5979 Impact Factor: 3.762 Raja Reddy P Assistant professor, Department of Physiology, Sri Devaraj Urs Medical
More informationCHAPTER 3 DIABETES MELLITUS, OBESITY, HYPERTENSION AND DYSLIPIDEMIA IN ADULT CENTRAL KERALA POPULATION
CHAPTER 3 DIABETES MELLITUS, OBESITY, HYPERTENSION AND DYSLIPIDEMIA IN ADULT CENTRAL KERALA POPULATION 3.1 BACKGROUND Diabetes mellitus (DM) and impaired glucose tolerance (IGT) have reached epidemic proportions
More informationAmerican Journal of Oral Medicine and Radiology
American Journal of Oral Medicine and Radiology e - ISSN - XXXX-XXXX ISSN - 2394-7721 Journal homepage: www.mcmed.us/journal/ajomr PREVALENCE OF NONALCOHOLIC FATTY LIVER DISEASE AMONG TYPE 2 DIABETIC POPULATION
More informationComparative study of metabolic profile of women presenting with polycystic ovary syndrome in relation to body mass index
International Journal of Reproduction, Contraception, Obstetrics and Gynecology Akshaya S et al. Int J Reprod Contracept Obstet Gynecol. 2016 Aug;5(8):2561-2565 www.ijrcog.org pissn 2320-1770 eissn 2320-1789
More informationDiabetes Day for Primary Care Clinicians Advances in Diabetes Care
Diabetes Day for Primary Care Clinicians Advances in Diabetes Care Elliot Sternthal, MD, FACP, FACE Chair New England AACE Diabetes Day Planning Committee Welcome and Introduction This presentation will:
More informationCardiovascular Complications of Diabetes
VBWG Cardiovascular Complications of Diabetes Nicola Abate, M.D., F.N.L.A. Professor and Chief Division of Endocrinology and Metabolism The University of Texas Medical Branch Galveston, Texas Coronary
More informationEndothelial function is impaired in women who had pre-eclampsia
Endothelial function is impaired in women who had pre-eclampsia Christian Delles, Catriona E Brown, Joanne Flynn, David M Carty Institute of Cardiovascular and Medical Sciences University of Glasgow United
More informationImpact of Chronicity on Lipid Profile of Type 2 Diabetics
Impact of Chronicity on Lipid Profile of Type 2 Diabetics Singh 1, Gurdeep & Kumar 2, Ashok 1 Ph.D. Research Scholar, Department of Sports Science, Punjabi University Patiala, India, Email: drgurdeep_sahni@yahoo.co.in
More informationSoo LIM, MD, PHD Internal Medicine Seoul National University Bundang Hospital
Soo LIM, MD, PHD Internal Medicine Seoul National University Bundang Hospital 1. Importance of Lowering LDL-Cholesterol in Diabetes Patients & Lipid Guidelines Prevalence of dyslipidemia in Korea Prevalence
More informationIt is currently estimated that diabetes prevalence by
clinical Study The Prevalence and Pattern of Dyslipidemia among Type 2 Diabetic Patients at Rural Based Hospital in Gujarat, India Hetal Pandya*, JD Lakhani**, J Dadhania, A Trivedi Abstract Only proper
More informationRelationship between Arterial Stiffness and the Risk of Coronary Artery Disease in Subjects with and without Metabolic Syndrome
243 Original Article Hypertens Res Vol.30 (2007) No.3 p.243-247 Relationship between Arterial Stiffness and the Risk of Coronary Artery Disease in Subjects with and without Metabolic Syndrome Yutaka KOJI
More informationDyslipidemia in chronic kidney disease excluding diabetic and nephrotic aetiology
International Journal of Advances in Medicine Velayudham R et al. Int J Adv Med. 2017 Dec;4(6):1586-1590 http://www.ijmedicine.com pissn 2349-3925 eissn 2349-3933 Original Research Article DOI: http://dx.doi.org/10.18203/2349-3933.ijam20175172
More informationSCIENTIFIC STUDY REPORT
PAGE 1 18-NOV-2016 SCIENTIFIC STUDY REPORT Study Title: Real-Life Effectiveness and Care Patterns of Diabetes Management The RECAP-DM Study 1 EXECUTIVE SUMMARY Introduction: Despite the well-established
More informationTRENDS OF LIPID ABNORMALITIES IN PAKISTANI TYPE-2 DIABETES MELLITUS PATIENTS: A TERTIARY CARE CENTRE DATA
Original Article TRENDS OF LIPID ABNORMALITIES IN PAKISTANI TYPE-2 DIABETES MELLITUS PATIENTS: A TERTIARY CARE CENTRE DATA Sehran Mehmood Bhatti 1, Sajid Dhakam 2, Mohammad Attaullah Khan 3 ABSTRACT Objective:
More information2003 World Health Organization (WHO) / International Society of Hypertension (ISH) Statement on Management of Hypertension.
2003 World Health Organization (WHO) / International Society of Hypertension (ISH) Statement on Management of Hypertension Writing Group: Background Hypertension worldwide causes 7.1 million premature
More informationDIABETES UPDATE. Diabetes Update
Diabetes Update 2 nd April 2016 POOVAR, KERALA "Diabetes Update was held at Isola Di Cocoa at Poovar, Thiruvanthapuram, Kerala. It was organized by of Asian Society of Continuing Medical Education. The
More informationHigh sensitive C-reactive protein, an independent and early novel inflammatory marker in healthy obese women.
Biomedical Research 01; 3 (1): 73-77 High sensitive C-reactive protein, an independent and early novel inflammatory marker in healthy obese women. Nirmitha Dev and Sara Rani Marcus Department of Biochemistry,
More informationA study to find out the relationship between insulin resistance and hypertension
International Journal of Advances in Medicine http://www.ijmedicine.com pissn 49-95 eissn 49-9 Original Research Article DOI: http://dx.doi.org/.10/49-9.ijam01771 A study to find out the relationship between
More informationThe Metabolic Syndrome Update The Metabolic Syndrome Update. Global Cardiometabolic Risk
The Metabolic Syndrome Update 2018 Marc Cornier, M.D. Professor of Medicine Division of Endocrinology, Metabolism & Diabetes Anschutz Health and Wellness Center University of Colorado School of Medicine
More informationReview of guidelines for management of dyslipidemia in diabetic patients
2012 international Conference on Diabetes and metabolism (ICDM) Review of guidelines for management of dyslipidemia in diabetic patients Nan Hee Kim, MD, PhD Department of Internal Medicine, Korea University
More informationA study of micro vascular complications and associated risk factors in newly diagnosed patients of type 2 diabetes mellitus
International Journal of Community Medicine and Public Health Prakash B et al. Int J Community Med Public Health. 2018 Jun;5(6):2338-2343 http://www.ijcmph.com pissn 2394-6032 eissn 2394-6040 Original
More informationThere are many ways to lower triglycerides in humans: Which are the most relevant for pancreatitis and for CV risk?
There are many ways to lower triglycerides in humans: Which are the most relevant for pancreatitis and for CV risk? Michael Davidson M.D. FACC, Diplomate of the American Board of Lipidology Professor,
More informationRole of imaging in risk assessment models: the example of CIMT
Role of imaging in risk assessment models: the example of CIMT Diederick E. Grobbee, MD, PhD, FESC Professor of Clinical Epidemiology Julius Center for Health Sciences and Primary Care, University Medical
More informationKEY COMPONENTS. Metabolic Risk Cardiovascular Risk Vascular Inflammation Markers
CardioMetabolic Risk Poor blood sugar regulation and unhealthy triglyceride and lipoprotein levels often present long before the diagnosis of type 2 Diabetes. SpectraCell s CardioMetabolic and Pre-Diabetes
More informationPathophysiology of Lipid Disorders
Pathophysiology of Lipid Disorders Henry Ginsberg, M.D. Division of Preventive Medicine and Nutrition CHD in the United States CHD is the single largest killer of men and women 12 million have history
More informationPage 1. Disclosures. Background. No disclosures
Population-Based Lipid Screening in the Era of a Childhood Obesity Epidemic: The Importance of Non-HDL Cholesterol Assessment Brian W. McCrindle, Cedric Manlhiot, Don Gibson, Nita Chahal, Helen Wong, Karen
More informationWhat is Diabetes Mellitus?
Normal Glucose Metabolism What is Diabetes Mellitus? When the amount of glucose in the blood increases, After a meal, it triggers the release of the hormone insulin from the pancreas. Insulin stimulates
More informationGuidelines on cardiovascular risk assessment and management
European Heart Journal Supplements (2005) 7 (Supplement L), L5 L10 doi:10.1093/eurheartj/sui079 Guidelines on cardiovascular risk assessment and management David A. Wood 1,2 * 1 Cardiovascular Medicine
More informationThe Metabolic Syndrome Its Prevalence and Association with Coronary Artery Disease in Type 2 Diabetes
REVIEW ARTICLE JIACM 2006; 7(1): 32-8 Abstract The Metabolic Syndrome Its Prevalence and Association with Coronary Artery Disease in Type 2 Diabetes Vijay Achari*, AK Thakur**, Arun K Sinha*** Objective:
More informationMetabolic Syndrome. Bill Roberts, M.D., Ph.D. Professor of Pathology University of Utah
Metabolic Syndrome Bill Roberts, M.D., Ph.D. Professor of Pathology University of Utah Objectives Be able to outline the pathophysiology of the metabolic syndrome Be able to list diagnostic criteria for
More informationAssociation of hypothyroidism with metabolic syndrome - A case- control study
Article ID: ISSN 2046-1690 Association of hypothyroidism with metabolic syndrome - A case- control study Peer review status: No Corresponding Author: Dr. Veena K Karanth, Associate Professor, Surgery,
More informationORIGINAL ARTICLE. Abstract. Introduction
ORIGINAL ARTICLE Health Education Hokenshido Program Reduced Metabolic Syndrome in the Amagasaki Visceral Fat Study. Three-Year Follow-up Study of 3,174 Japanese Employees Miwa Ryo 1, Tadashi Nakamura
More informationMETABOLIC SYNDROME IN A JORDANIAN COHORT: DEMOGRAPHY, COMPLICATIONS AND PREDICTORS OF CARDIOVASCULAR DISEASES
METABOLIC SYNDROME IN A JORDANIAN COHORT: DEMOGRAPHY, COMPLICATIONS AND PREDICTORS OF CARDIOVASCULAR DISEASES Shaher Mahafza MD*, Nawaf Khazaalah MD**, Abdelrazzaq Wraikat MD^, Zuhair Shawagheh MD^, Ahmad
More informationASSESSMENT OF INSULIN RESISTANCE AND Apo B / Apo A1 RATIO IN TYPE II DIABETES PATIENTS
ORIGINAL ARTICLE ASSESSMENT OF INSULIN RESISTANCE AND Apo B / Apo A RATIO IN TYPE II DIABETES PATIENTS 2 3 RP.Sathvika, Philips Abraham, R.Sudha, Evangeline Jones Background: Insulin resistance (IR) is
More informationSleep Apnea: Vascular and Metabolic Complications
Sleep Apnea: Vascular and Metabolic Complications Vahid Mohsenin, M.D. Professor of Medicine Yale University School of Medicine Director, Yale Center for Sleep Medicine Definitions Apnea: Cessation of
More informationDyslipidaemia. Is there any new information? Dr. A.R.M. Saifuddin Ekram
Dyslipidaemia Is there any new information? Dr. A.R.M. Saifuddin Ekram PhD,FACP,FCPS(Medicine) Professor(c.c.) & Head Department of Medicine Rajshahi Medical College Rajshahi-6000 New features of ATP III
More informationElevated Serum Levels of Adropin in Patients with Type 2 Diabetes Mellitus and its Association with
Elevated Serum Levels of Adropin in Patients with Type 2 Diabetes Mellitus and its Association with Insulin Resistance Mehrnoosh Shanaki, Ph.D. Assistant Professor of Clinical Biochemistry Shahid Beheshti
More informationStudy of Prevalence of Obstructive Sleep Apnea in Patients With Metabolic Syndrome
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 17, Issue 01 Ver. VI January. (2018), PP 51-55 www.iosrjournals.org Study of Prevalence of Obstructive
More informationThe promise of the thiazolidinediones in the management of type 2 diabetes-associated cardiovascular disease
The promise of the thiazolidinediones in the management of type 2 diabetes-associated cardiovascular disease Steve Smith, Group Director Scientific Affairs, Diabetes & Metabolism GlaxoSmithKline R & D
More informationImpact of Physical Activity on Metabolic Change in Type 2 Diabetes Mellitus Patients
2012 International Conference on Life Science and Engineering IPCBEE vol.45 (2012) (2012) IACSIT Press, Singapore DOI: 10.7763/IPCBEE. 2012. V45. 14 Impact of Physical Activity on Metabolic Change in Type
More informationEVALUATION OF CAROTID ARTERY STENOSIS IN STROKE/TRANSIENT ISCHAEMIC ATTACK Nambakam Tanuja Subramanyam 1, Naveen Kumar P 2, Girish P.
EVALUATION OF CAROTID ARTERY STENOSIS IN STROKE/TRANSIENT ISCHAEMIC ATTACK Nambakam Tanuja Subramanyam 1, Naveen Kumar P 2, Girish P. Vakrani 3 HOW TO CITE THIS ARTICLE: Nambakam Tanuja Subramanyam, Naveen
More informationEstablishment of Efficacy of Intervention in those with Metabolic Syndrome. Dr Wendy Russell - ILSI Europe Expert Group
Establishment of Efficacy of Intervention in those with Metabolic Syndrome Dr Wendy Russell - ILSI Europe Expert Group Conflict of interest regarding this presentation: I have no conflict of interest to
More informationInflammation markers and metabolic characteristics of subjects with onehour plasma glucose levels
Diabetes Care Publish Ahead of Print, published online November 16, 2009 Inflammation markers and metabolic characteristics of subjects with onehour plasma glucose levels Gianluca Bardini, MD, PhD, Ilaria
More informationScreening Results. Juniata College. Juniata College. Screening Results. October 11, October 12, 2016
Juniata College Screening Results Juniata College Screening Results October 11, 2016 & October 12, 2016 JUNIATA COLLEGE The J.C. Blair Hospital CARES team screened 55 Juniata College employees on October
More informationANKLE BRACHIAL PRESSURE INDEX: AS A PREDICTOR OF PERIPHERAL ARTERIAL DISEASE IN DIABETIC & NON DIABETIC SUBJECTS
RESEARCH ARTICLE ANKLE BRACHIAL PRESSURE INDEX: AS A PREDICTOR OF PERIPHERAL ARTERIAL DISEASE IN DIABETIC & NON DIABETIC SUBJECTS Dharmesh Patel 1, MB Jani 2 1 Department of Physiology, GMERS Medical College,
More informationDyslipidaemia pattern amongst diabetic patients visiting a tertiary care hospital in Eastern Odisha
International Journal of Advances in Medicine Behera SN et al. Int J Adv Med. 217 Dec;4(6):1662-1667 http://www.ijmedicine.com pissn 2349-3925 eissn 2349-3933 Original Research Article DOI: http://dx.doi.org/1.1823/2349-3933.ijam2175186
More informationCRP and fibrinogen imply clinical outcome of patients with type-2 diabetes. and coronary artery disease
CRP and fibrinogen imply clinical outcome of patients with type-2 diabetes and coronary artery disease Marijan Bosevski 1, *, Golubinka Bosevska 1, Lily Stojanovska 2, Vasso Apostolopoulos 2, * 1 University
More informationInsulin resistance and its associated comorbidities in young individuals: a HOMA study
International Journal of Advances in Medicine Ahamed IHB et al. Int J Adv Med. 2017 Feb;4(1):225-229 http://www.ijmedicine.com pissn 2349-3925 eissn 2349-3933 Original Research Article DOI: http://dx.doi.org/10.18203/2349-3933.ijam20170116
More informationHow to Reduce CVD Complications in Diabetes?
How to Reduce CVD Complications in Diabetes? Chaicharn Deerochanawong M.D. Diabetes and Endocrinology Unit Department of Medicine Rajavithi Hospital, Ministry of Public Health Framingham Heart Study 30-Year
More information